Page 51 - Petelin, Ana. 2020. Zdravje delovno aktivne populacije / Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
P. 51
we lower the risk of injury-related knee osteoarthritis? fizioterapevtske in kineziološke priložnosti ... | opportunities in physiotherapy and kinesiology ...
Marko Nabergoj, Samo Novak, Jakob Merkač, Benjamin Marjanovič
Orthopedic Hospital Valdoltra, Jadranska cesta 31, 6280 Ankaran, Slovenia
Background and purpose: The main risk factors for knee osteoarthritis (OA)
are advanced age, obesity and injury. Nonetheless, there is limited or no ev-
idence that they are changeable or to what degree changing them is effective
in preventing development of knee OA or in preventing symptoms and pro-
gressive disease in persons with early OA. The notable exception is the grow-
ing epidemic of (sports) injury related knee OA. The purpose of this review is
to present the risk of knee osteoarthritis from knee joint injuries and present
ways of how we can prevent them.
Presentation of the content: Meniscus and anterior cruciate ligament (ACL) in-
juries are common in athletes and the general population. It is estimated that
the cumulative population risk of an anterior cruciate ligament (ACL) injury be-
tween 10 and 64 years of age is about 5 % based on MRI findings of the acute-
ly injured knee, and for meniscus injury leading to surgery is at least 15 %. The
risk of knee OA from knee joint injury is high; approximately 50 % of individu-
als with an ACL or meniscus tear develop knee OA. Risk factors for knee in-
jury include intrinsic (anatomic, neuromuscular, hormonal) and extrinsic fac-
tors (environmental, including knee bracing, shoe-surface interface, weather).
A meta-analysis including data derived from 27,000 individuals found that neu-
romuscular and proprioceptive training programs are successful in preventing
around 50 % of ACL injuries. In a randomized study in patients with patellofem-
oral OA, bracing was associated with pain relief and a decreased volume of
bone marrow lesions in the affected compartment. Another meta-analysis has
shown that the odds of lower limb injury are approximately 2.5 times higher
when higher levels of rotational traction are present at the athletes shoe-sur-
face interface. Rotational traction can be modified by the athlete’s footwear se-
lection for a given surface and weather conditions.
Conclusion: Injury related knee OA is a common disease, which is predicted
to become more prevalent as rates of physical inactivity increase. The employ-
ment of prevention strategies is therefore essential to prevent an epidemic of
injury related knee OA.
Key words: knee inury, meniscus, anterior cruciate ligament, prevention,
arthrosis
49
Marko Nabergoj, Samo Novak, Jakob Merkač, Benjamin Marjanovič
Orthopedic Hospital Valdoltra, Jadranska cesta 31, 6280 Ankaran, Slovenia
Background and purpose: The main risk factors for knee osteoarthritis (OA)
are advanced age, obesity and injury. Nonetheless, there is limited or no ev-
idence that they are changeable or to what degree changing them is effective
in preventing development of knee OA or in preventing symptoms and pro-
gressive disease in persons with early OA. The notable exception is the grow-
ing epidemic of (sports) injury related knee OA. The purpose of this review is
to present the risk of knee osteoarthritis from knee joint injuries and present
ways of how we can prevent them.
Presentation of the content: Meniscus and anterior cruciate ligament (ACL) in-
juries are common in athletes and the general population. It is estimated that
the cumulative population risk of an anterior cruciate ligament (ACL) injury be-
tween 10 and 64 years of age is about 5 % based on MRI findings of the acute-
ly injured knee, and for meniscus injury leading to surgery is at least 15 %. The
risk of knee OA from knee joint injury is high; approximately 50 % of individu-
als with an ACL or meniscus tear develop knee OA. Risk factors for knee in-
jury include intrinsic (anatomic, neuromuscular, hormonal) and extrinsic fac-
tors (environmental, including knee bracing, shoe-surface interface, weather).
A meta-analysis including data derived from 27,000 individuals found that neu-
romuscular and proprioceptive training programs are successful in preventing
around 50 % of ACL injuries. In a randomized study in patients with patellofem-
oral OA, bracing was associated with pain relief and a decreased volume of
bone marrow lesions in the affected compartment. Another meta-analysis has
shown that the odds of lower limb injury are approximately 2.5 times higher
when higher levels of rotational traction are present at the athletes shoe-sur-
face interface. Rotational traction can be modified by the athlete’s footwear se-
lection for a given surface and weather conditions.
Conclusion: Injury related knee OA is a common disease, which is predicted
to become more prevalent as rates of physical inactivity increase. The employ-
ment of prevention strategies is therefore essential to prevent an epidemic of
injury related knee OA.
Key words: knee inury, meniscus, anterior cruciate ligament, prevention,
arthrosis
49
